Best Arthritis (Joint Care) Clinic in Lokapur

Conditions we deal with in our joint care clinic

 

 

1. Rheumatoid Arthritis (RA)

Condition: Autoimmune disease causing chronic inflammation of synovial joints.
Symptoms:

  • Symmetrical joint pain, stiffness (especially in the morning), and swelling.
  • Systemic symptoms like fatigue, fever, and weight loss.
  • Progressive joint deformities (e.g., ulnar deviation).

Diagnosis:

  • Blood tests: Rheumatoid factor (RF), anti-CCP antibodies, ESR, and CRP.
  • Imaging: X-rays (erosions), ultrasound/MRI (synovitis).

Key Difference: Systemic autoimmune involvement with symmetric joint presentation.

2. Osteoarthritis (OA)

Condition: Degenerative joint disease due to cartilage breakdown.
Symptoms:

  • Joint pain worsens with activity and improves with rest.
  • Morning stiffness (<30 minutes).
  • Bony enlargements (e.g., Heberden’s and Bouchard’s nodes).

Diagnosis:

  • Clinical evaluation: Pain and functional limitation.
  • Imaging: X-rays showing joint space narrowing, osteophytes, and subchondral sclerosis.

Key Difference: Wear-and-tear mechanism, commonly affecting weight-bearing joints asymmetrically.

3. Gouty Arthritis

Condition: Inflammatory arthritis caused by monosodium urate crystal deposition.
Symptoms:

  • Acute, sudden-onset joint pain, redness, and swelling (often the great toe).
  • Recurrent attacks may lead to tophi.

Diagnosis:

  • Synovial fluid analysis: Needle-shaped crystals with negative birefringence.
  • Blood tests: Elevated serum uric acid.
  • Imaging: X-rays showing “punched-out” lesions in chronic cases.

Key Difference: Acute attacks and crystal-induced inflammation.

4. Septic Arthritis

Condition: Joint infection, often bacterial (e.g., Staphylococcus aureus).
Symptoms:

  • Acute monoarticular pain, swelling, warmth, and fever.
  • Limited joint motion.

Diagnosis:

  • Synovial fluid analysis: High WBC count, positive Gram stain/culture.
  • Blood tests: Elevated ESR, CRP, and sometimes positive blood cultures.
  • Imaging: May show effusion but limited diagnostic utility.

Key Difference: Infective etiology requiring prompt intervention.

5. Post-Traumatic Arthritis (PTA)

Condition: Secondary arthritis due to joint trauma or instability.
Symptoms:

  • Chronic joint pain and stiffness following injury.
  • Swelling and decreased range of motion.

Diagnosis:

  • History of trauma.
  • Imaging: X-rays showing joint degeneration or malalignment.
  • MRI for detailed assessment of cartilage or ligament damage.

Key Difference: Trauma as the primary trigger for joint degeneration.

Key Similarities and Differences:

  • Inflammatory (RA, Gout, Septic Arthritis) vs. Non-inflammatory (OA, PTA).
  • Monoarticular (Gout, Septic Arthritis) vs. Polyarticular (RA, OA).
  • Imaging and synovial fluid analysis are critical across conditions, while blood tests aid systemic or metabolic causes (RA, Gout)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Treatment we give

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 Joint Replacement

What is Joint Replacement Surgery?

Joint replacement surgery, or arthroplasty, involves removing a damaged or diseased joint and replacing it with a prosthetic joint. It is most commonly performed on weight-bearing joints like the hip and knee, but it can also be done on the shoulder, elbow, or smaller joints.

Indications for Joint Replacement Surgery

The procedure is typically recommended when:

  • Severe Joint Damage: Advanced arthritis (osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis) leading to loss of cartilage.
  • Chronic Pain: Persistent joint pain not relieved by medication, physical therapy, or injections.
  • Reduced Mobility: Difficulty in performing daily activities like walking, climbing stairs, or standing.
  • Deformity: Severe joint deformities, such as bowlegs or knock knees.
  • Failure of Conservative Treatments: When treatments like medication, physical therapy, and lifestyle changes fail to provide relief.

Benefits of Joint Replacement Surgery Over Conservative Management

  1. Pain Relief:
    • Eliminates the chronic pain associated with severe joint damage.
  2. Restored Mobility:
    • Improves range of motion and functionality, enabling patients to resume daily activities.
  3. Enhanced Quality of Life:
    • Patients can return to hobbies, exercise, and social activities without debilitating pain.
  4. Corrected Deformities:
    • Restores alignment and improves aesthetics of the affected joint.
  5. Long-Term Results:
    • Modern prosthetics last 15-25 years, offering long-term relief.

Advantages Over Conservative Management

While non-surgical treatments (physical therapy, injections, or medications) aim to manage symptoms, they cannot reverse severe joint damage. Surgery provides:

  • Definitive Solution: Replaces damaged structures entirely.
  • Faster Recovery of Function: Enables quicker return to normal activities compared to prolonged conservative approaches.
  • Improved Independence: Helps patients regain confidence and autonomy in their movement.

Joint replacement surgery has transformed the lives of millions, offering a new lease on life to those incapacitated by severe joint conditions. With advancements in surgical techniques and prosthetic materials, it remains a safe and highly effective option for restoring joint health.

 

 

 

 

 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Intra articular injections

Intra-articular injections are minimally invasive procedures used to deliver therapeutic agents directly into joint spaces to alleviate pain, reduce inflammation, and promote tissue repair in musculoskeletal conditions. Here’s a detailed overview of some popular intra-articular therapies:

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  1. Platelet-Rich Plasma (PRP) Therapy

Procedure:

Blood is drawn from the patient, centrifuged to concentrate platelets, and the resulting PRP is injected into the affected joint.

Platelets release growth factors and bioactive proteins that stimulate healing.

Applications:

Osteoarthritis

Tendon injuries

Ligament sprains

Cartilage degeneration

Benefits:

Promotes natural healing.

Reduces inflammation and pain.

May delay or prevent the need for surgical intervention.

Potential Risks:

Mild discomfort at the injection site.

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  1. Ozone Therapy

Procedure:

Medical-grade ozone is generated and mixed with oxygen, then injected into the joint to improve oxygenation and reduce inflammation.

Applications:

Osteoarthritis

Rheumatoid arthritis

Chronic joint pain

Benefits:

Anti-inflammatory and analgesic properties.

Enhances joint lubrication and mobility.

Stimulates local circulation and tissue repair.

Potential Risks:

Mild discomfort at the injection site.

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  1. Prolotherapy

Procedure:

A solution, typically hypertonic dextrose, is injected into the joint to irritate and stimulate the body’s natural healing response, promoting collagen production.

Applications:

Ligament laxity.

Tendinopathies.

Chronic joint instability.

Benefits:

Strengthens weakened ligaments and tendons.

Provides long-term relief by addressing the root cause.

Safe for repeated use.

Potential Risks:

Temporary pain or stiffness.

Potential Risks:

Mild discomfort at the injection site.

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  1. Steroid Injections

Procedure:

Corticosteroids, often combined with a local anesthetic, are injected into the joint to reduce inflammation.

Applications:

Acute joint inflammation in arthritis or bursitis.

Post-traumatic joint pain.

Synovitis.

Benefits:

Rapid and effective pain relief.

Reduces inflammation significantly.

Useful for short-term symptom management.

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